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虽然,应激性溃疡与胃炎造成胃肠道大出血的发病率正在增高,但对其治疗仍十分不力。除非术前专门确定了出血部位,否则探查术可能遇到极大困难,并发生许多错误。选择性内脏血管造影被成功地应用于术前出血的定位;而且,选择性动脉内注入血管收缩剂可以控制出血。 1970至1972年,作者对18例糜烂性胃炎与应激性溃疡造成上胃肠道出血的病人进行了紧急内脏血管造影。作者采用软质的、不透X线的聚乙烯导管给病人进行了腹腔动脉与肠系膜上动脉造影。左胃动脉和十二指肠动脉做为次选择性动脉造影。作者还给6例病人动脉内注入血管收
Although, the incidence of gastrointestinal bleeding caused by stress ulcer and gastritis is increasing, its treatment is still very poor. Unless a bleeding site is specifically determined before surgery, exploration may be extremely difficult and many errors occur. Selective visceral angiography is successfully applied to the location of preoperative hemorrhage; moreover, selective arterial infusion of a vasoconstrictor can control bleeding. From 1970 to 1972, the authors performed emergency visceral angiography on 18 patients with gastrointestinal bleeding caused by erosive gastritis and stress ulcer. The authors performed celiac and superior mesenteric arteriography with a soft, radiopaque polyethylene catheter. Left gastric artery and duodenal artery as secondary selective arteriography. The author also returned 6 patients with intra-arterial infusion of blood vessels